Migration of biliary endoprosthesis - case report and literature review
Introduction. The most common indications for placing a biliary stent are benign and malignant diseases that interfere with the normal flow of bile through the extrahepatic bile ducts. This procedure carries the risk of developing early and late complications. Case outline. We present a case of a 63...
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| Format: | Article |
| Language: | English |
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Serbian Medical Society
2023-01-01
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| Series: | Srpski Arhiv za Celokupno Lekarstvo |
| Subjects: | |
| Online Access: | https://doiserbia.nb.rs/img/doi/0370-8179/2023/0370-81792300041M.pdf |
| _version_ | 1797680704411140096 |
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| author | Milosavljević Vladimir Tadić Boris Grubor Nikola Erić Dragan Tošković Borislav |
| author_facet | Milosavljević Vladimir Tadić Boris Grubor Nikola Erić Dragan Tošković Borislav |
| author_sort | Milosavljević Vladimir |
| collection | DOAJ |
| description | Introduction. The most common indications for placing a biliary stent are benign and malignant diseases that interfere with the normal flow of bile through the extrahepatic bile ducts. This procedure carries the risk of developing early and late complications. Case outline. We present a case of a 63-year-old female patient admitted to our hospital for additional diagnostics and treatment. At admission the patient reported the onset of the following symptoms several days prior to hospitalization: severe abdominal pain, predominantly in the upper quadrants, nausea, vomiting, and icterus. With the initial idea of carrying out non-surgical treatment of this condition, the patient was referred for endoscopic retrograde cholangiopancreatography for the purpose of endoscopic calculi extraction. However, due to technical difficulties, the aforementioned procedure was not carried out. Instead, upon endoscopic papillotomy, a plastic biliary stent was placed. The second day after the procedure, the patient reported passing dark stools. After that, an esophagogastroduodenoscopy was performed, which revealed a biliary stent in the duodenum, but without active bleeding. As part of the same procedure, the biliary stent was removed, and the next day the patient underwent surgical treatment. Conclusion. In order to prevent and reduce the incidence of adverse effects and complications, special caution should be applied when performing the procedure. It is even more important to timely recognize the occurrence of complications and to treat them promptly, in order to achieve the best treatment outcomes possible. |
| first_indexed | 2024-03-11T23:33:54Z |
| format | Article |
| id | doaj.art-96673dd11719436a81be08b4e9671671 |
| institution | Directory Open Access Journal |
| issn | 0370-8179 2406-0895 |
| language | English |
| last_indexed | 2024-03-11T23:33:54Z |
| publishDate | 2023-01-01 |
| publisher | Serbian Medical Society |
| record_format | Article |
| series | Srpski Arhiv za Celokupno Lekarstvo |
| spelling | doaj.art-96673dd11719436a81be08b4e96716712023-09-20T06:03:11ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792406-08952023-01-011517-847647910.2298/SARH221113041M0370-81792300041MMigration of biliary endoprosthesis - case report and literature reviewMilosavljević Vladimir0https://orcid.org/0000-0002-6998-2116Tadić Boris1https://orcid.org/0000-0001-5400-1015Grubor Nikola2https://orcid.org/0000-0002-2354-7784Erić Dragan3https://orcid.org/0000-0002-3996-4099Tošković Borislav4https://orcid.org/0000-0002-7054-3778University Hospital Medical Center Bežanijska kosa, Department for HBP Surgery, Belgrade, SerbiaUniversity Clinical Centre of Serbia, Clinic for Digestive Surgery, Department for HBP Surgery, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Department for Surgery with Anesthesiology, Belgrade, SerbiaUniversity Clinical Centre of Serbia, Clinic for Digestive Surgery, Department for HBP Surgery, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Department for Surgery with Anesthesiology, Belgrade, SerbiaNational Health Insurance Fund of Serbia, Belgrade, SerbiaUniversity Hospital Medical Center Bežanijska kosa, Department for HBP Surgery, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Department for Surgery with Anesthesiology, Belgrade, SerbiaIntroduction. The most common indications for placing a biliary stent are benign and malignant diseases that interfere with the normal flow of bile through the extrahepatic bile ducts. This procedure carries the risk of developing early and late complications. Case outline. We present a case of a 63-year-old female patient admitted to our hospital for additional diagnostics and treatment. At admission the patient reported the onset of the following symptoms several days prior to hospitalization: severe abdominal pain, predominantly in the upper quadrants, nausea, vomiting, and icterus. With the initial idea of carrying out non-surgical treatment of this condition, the patient was referred for endoscopic retrograde cholangiopancreatography for the purpose of endoscopic calculi extraction. However, due to technical difficulties, the aforementioned procedure was not carried out. Instead, upon endoscopic papillotomy, a plastic biliary stent was placed. The second day after the procedure, the patient reported passing dark stools. After that, an esophagogastroduodenoscopy was performed, which revealed a biliary stent in the duodenum, but without active bleeding. As part of the same procedure, the biliary stent was removed, and the next day the patient underwent surgical treatment. Conclusion. In order to prevent and reduce the incidence of adverse effects and complications, special caution should be applied when performing the procedure. It is even more important to timely recognize the occurrence of complications and to treat them promptly, in order to achieve the best treatment outcomes possible.https://doiserbia.nb.rs/img/doi/0370-8179/2023/0370-81792300041M.pdfbiliary stentduodenumprocedurecomplications |
| spellingShingle | Milosavljević Vladimir Tadić Boris Grubor Nikola Erić Dragan Tošković Borislav Migration of biliary endoprosthesis - case report and literature review Srpski Arhiv za Celokupno Lekarstvo biliary stent duodenum procedure complications |
| title | Migration of biliary endoprosthesis - case report and literature review |
| title_full | Migration of biliary endoprosthesis - case report and literature review |
| title_fullStr | Migration of biliary endoprosthesis - case report and literature review |
| title_full_unstemmed | Migration of biliary endoprosthesis - case report and literature review |
| title_short | Migration of biliary endoprosthesis - case report and literature review |
| title_sort | migration of biliary endoprosthesis case report and literature review |
| topic | biliary stent duodenum procedure complications |
| url | https://doiserbia.nb.rs/img/doi/0370-8179/2023/0370-81792300041M.pdf |
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